Adrenal cortical cancer is an extremely malignant tumor with a low incidence, accounting for 0.02％ of adrenal cortical cancer? The patient had distant metastasis at the time of diagnosis, and most of them survived for less than 1 year. Even the surgically resected stage I to III patients had a 5-year survival rate of only about 30％.

　　 Therefore, for the early adrenal cortex Surgical resection of cancer is very important: including
　　1, complete resection of the tumor including its surrounding fatty tissue, suspicious tumor invasion area and lymph nodes;
　　2, those who are affected by the nearby organs should be removed together with the primary tumor Such as kidney, spleen resection, partial liver resection, etc.
　　 For adrenal tumors larger than about 5cm, if considering adrenal cortical cancer, it is best to choose surgery to completely remove the tumor and its surrounding tissues, such as adhesion to the surrounding tissues. At the same time, the relevant tissues and organs were removed. This center admitted many patients who underwent laparoscopic minimally invasive surgery to remove adrenal cortical cancer after recurrence. The reason was that the intraoperative lesion was ruptured or was not completely removed. -All died within 2 years. Because the texture of cortical cancer tumor tissue is brittle, like tofu, it is easy to rupture during surgery, so the principle of no tumor, surgical technique and experience are decisive for the life and death of patients.